Comparison of two approaches to monitoring quality of care in Sierra Leone

Clinical Expertise
Sierra Leone
This case study compares the face-to-face Facility Improvement Team (FIT) assessment to the rapid, telephone based QuIC - FIT approach.

In Sierra Leone, we compared two different approaches to assessing the inputs that facilities need in order to provide emergency services for mothers and babies.

The FIT approach involves teams of assessors visiting facilities and conducting face-to-face assessments. The Quality of Institutional Care (QuIC) approach asks one third as many questions to obtain a snapshot, asking questions by telephone and gathering the data directly using an android App. Our comparison showed the value of the low-cost QuIC approach as a lightweight, more regular assessment to complement less regular, in- depth exercises. This provided real-time data to enable use of data for decision making.

This case study is part of our book, MamaYe Evidence for Action Stories of Change: Selected Case Studies. Through illustrative case studies, we describe how Evidence for Action - MamaYe has strategically combined evidence with advocacy and accountability activities in six countries, across Africa, and globally.

Evidence for Action-MamaYe. (2015). Comparison of two approaches to monitoring quality of care in Sierra Leone: the comprehensive, face-to-face “FIT” assessment and the rapid, telephone based “QuIC FIT” approach. London: E4A-MamaYe.